Care and Discharge Outcome of Acute Stroke in Lebanon: A Hospital-Based Study

Nathalie Lahoud, Pascale Salameh, Hassan Hosseini, Nadine Saleh, Elias Rizk, Souheil Hallit, Marie Helene Abbas, Souheil Gebeily

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

The present study was conducted to assess stroke care and outcomes in two Lebanese hospitals. Patients admitted in 2012 and 2013 were retrospectively selected. Data were extracted from medical records for time to hospital arrival, stroke severity, management, and discharge outcomes. A Cox regression analysis was then conducted to predict time to in-hospital death. A total of 201 patients were included (mean age = 69.2 years), among whom 50% arrived within a delay of 3.75 hours. Half underwent brain imaging in the first hour, and nine patients received an acute intervention. Forty-four patients died at the hospital; 142 were discharged home, among whom 98 patients were dependent in their daily activities. Stroke severity on admission and time from onset to arrival were found to be significantly associated to the time to in-hospital death (adjusted hazard ratio [HRa] = 1.13 and HRa = 0.98 respectively; p < 0.05). The study sheds light on high case fatality and dependency rates at discharge among stroke patients in Lebanese hospitals.

Original languageEnglish (US)
Pages (from-to)637-643
Number of pages7
JournalThe Journal of nervous and mental disease
Volume206
Issue number8
DOIs
StatePublished - Aug 1 2018

All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

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